Individual provider Active NPI

Lisa M Loving

  • Mental Health Counselor
  • Sunrise, FL
National Provider Identifier
1649761891
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16028 Issued in FL
Practice address
12651 W Sunrise Blvd Ste 101
Sunrise, FL 33323-0906
Phone
(954) 587-7520
NPI assigned
May 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH16028 FL Primary

Addresses

Primary practice location

12651 W Sunrise Blvd Ste 101
Sunrise, FL 33323-0906

Mailing address

7415 NW 44TH St Apt 1404
Lauderhill, FL 33319-3953
Phone (954) 906-7540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240106000209 FL Practitioner - Mental Health Counselor 7012368780 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

333 SE 2ND Ave
Suite 2000
Miami, FL 33131-2185
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Wellbeing LLC CurrentSince Feb 19, 2024 Accepting new patients
Brave Health Inc. CurrentSince Jan 1, 2024 Accepting new patients
Flowly Health Medical Group P a CurrentSince Apr 1, 2025 Accepting new patients
Sondermind Provider Network LLC CurrentSince Apr 3, 2025 Accepting new patients
Tamade Inc. Mental Health PastSince Nov 12, 2023 Accepting new patients

Locations

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1649761891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 NW 44TH ST APT 1404",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333193953",
            "telephone_number": "954-906-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12651 W SUNRISE BLVD STE 101",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333230906",
            "telephone_number": "954-587-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVING",
        "first_name": "LISA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.